Individual
MR. DAVID L DUKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1216 RAGUET, NACOGDOCHES, TX 75961-4228
(936) 560-5537
Mailing address
PO BOX 632868, NACOGDOCHES, TX 75963-2868
(936) 560-5537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G3311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2287568
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/13/2006
Last updated
07/08/2007
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